COLLEEN CLARK LAY Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010985

License Status

NOT RENEWED

Business

First Name

COLLEEN

Last Name

CLARK LAY

Business Name

COLLEEN CLARK LAY

Original Issue Date

06/22/2004

Effective Date

07/20/2018

Expiration Date

11/30/2019

City

CLARK

State

Zip

80428

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020